BASIC (09-08)

DI 23510.030 Determination Paragraph for a Disability Insurance Benefit (DIB) Claim Filed after Death (Chart)

To determine the correct determination paragraph (i.e., element 3 of the personalized disability explanation) by the regulation basis code, use this chart:

Basis for determinationReg. basis code shown in Item 22Determination paragraph (see NL 00708.100 Numbered Paragraphs

Impairment not severe at time of death – Medical consideration alone

F1

F2

329

324

Impairment severe at time of death – Medical and vocational considerations:

H1

J1

330.2

Capacity for Substantial Gainful Activity (SGA)—any relevant past work (H1/H2)

Capacity for SGA—Other Than Relevant Past Work (J1/J2)

H2

J2

324(B)

Impairment no longer severe at time of death and did not prevent SGA for a period of at least 12 months

E1

E2

331.1(A)

324(B)

Impairment is severe at time of adjudication/death but would not have been expected to last 12 months

E3

E4

331(E)

324(B)

Insufficient evidence furnished

M5

M6

341(A)

Applicant does not want to continue development of claim:

Wants determination made on evidence in file (M3/M4)

Does not indicate determination to be made on evidence in file (M3/M4)

Does not want determination to be made on evidence in file (M7/M8)

M3

M7

M4

M8

343(C)

Number Holder (NH) willfully failed to follow prescribed treatment

K1

K2

381A


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